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4ZC-26546-74293

1 vaccination 2 coded responses 4 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
328 / FL
Registered
2021-04-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-16
    Dose 1 — Moderna
  2. 2021-04-17
    Registered in v-safe
  3. 2021-04-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-04-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-04-28
    Survey response — day 7, dose 1
    MedDRA: Gait disturbance, Pain in extremity, Unevaluable event — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Pain in my legs. I started having the pain in my right leg soon after my shot and its been getting worse now its in both legs. I didnt think about putting these two together as a side effect until now. Im having a hard time walking and working · Healthcare visit (other): Called my dr today. They are returning my call tomorrow
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-28
    Report sent to call center — day 7, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2022-04-11
  8. 2022-04-18
    Survey response — 12 months, dose 1
    MedDRA: Asthma, Dyspnoea, Hospitalisation, Impaired work ability, Lung disorder, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: My health issues has been getting worse since I got Covid last December 2021. I have chronic asthma and haven't been able to recover fully. I was just hospitalized April 12th for 4 days due to lung and breathing issue. I'm unable to work fully.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-16Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — day 7, dose 1

2021-04-28

Systemic reaction (other): Pain in my legs. I started having the pain in my right leg soon after my shot and its been getting worse now its in both legs. I didnt think about putting these two together as a side effect until now. Im having a hard time walking and working
Healthcare visit (other): Called my dr today. They are returning my call tomorrow

Release 11 — 12 months, dose 1

2022-04-18

Symptoms: My health issues has been getting worse since I got Covid last December 2021. I have chronic asthma and haven't been able to recover fully. I was just hospitalized April 12th for 4 days due to lung and breathing issue. I'm unable to work fully.

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event ✓ ✓ ✓
SDAsthma · · ✓
SDDyspnoea · · ✓
SDHospitalisation · · ✓
SDImpaired work ability · · ✓
SDLung disorder · · ✓
SDPre-existing disease · · ✓
SROGait disturbance ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release